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incision

I've been bleeding small amounts for days from my incision. I can see a small yellow spot could that be the stitches showing through or more likely to be infection? I sent a photo to my PS but they have yet to get back to me. How worried should I be?

A: Spotting and discoloration of steri-strips is common

Light spotting with either red or clear yellow fluid under the steri-strips is common early after surgery. You should be fine waiting on your surgeon to reply if dressings are not saturated and there are no other unusual findings.

There are various kinds of plastic surgery that can be performed. Ranging from abdominoplasty (“tummy tuck”) to rhinoplasty (“nose job”), but one of the most popular ones, especially among women, is breast augmentation.

Deciding on what type of breast implants to use is not the only difficult decision to make. Plastic surgery after all is a surgical procedure that requires making incisions on the skin. Scaring is typical after an incision is performed and it is unavoidable. Deciding where an incision will be done will determine where the scaring will be located. In a breast augmentation, the three commonly performed incisions are the infra-mammary incision, the peri-areolar incision, and the trans-axillary incision.

The infra-mammary incision is an incision that is done in the breast fold, which is the crease under the breast where it meets the chest. This is the most common incision in that it offers the plastic surgeon direct visual access making it easier to place the breast implants. Both silicone and saline breast implants can be inserted through this incision. If using silicone breast implants, this incision is preferred, especially if they are large sized ones.

The peri-areolar incision is done on the lower border of the nipple, where it will be hidden between the darker colour of the nipple and the lighter colour of the skin. Both implants can be inserted, but the size of silicone implants may be restricted depending on the border and size of the areola. This incision also gives the plastic surgeon direct visual access.

The trans-axillary incision is an incision done in the armpit. The scar can be noticeable when a woman wears sleeveless clothes. Saline breast implants are preferred over silicone breast implants when this incision is done. It is very hard to position large silicone breast implants and there is no direct visual access for the plastic surgeon. Small silicone breast implants are a better option when using this incision.

Regardless of the incision that is made, a scar will follow. It is an unavoidable end result of a breast augmentation but after obtaining the desired breast size, shape, and look, the scaring will be forgotten with time as the new breasts will steal the spotlight.

A: Many reasons for this but do require at least photo

There are many potential reasons for this. While not exhaustive, a short list of possible causes includes keloid scar, inclusion cyst, ectopic breast or fat. More precise comments as to your situation might be possible if you are able to upload a photo. Even better would be a visit with your plastic surgeon.

It's been a week now that i feel localized pain on my left breast (the pain is like a bruise). I feel the pain on the sides of my left nipple toward my left arm. I also feel the pain on the incision site after I wear my none wire bra (like there's a feeling of heaviness), every time I bend over (this time on the side of the left nipple again but extending medially) & when sleeping on my left side. Is this something serious or it's just a sign of drop and fluff? Thank you for the replies docs.

A: Scar maturation with more time will likely improve your symptoms.

If all else is normal and unchanged, then it is highly likely that your symptoms are a result of an immature scar. The normal progress is for these symptoms to become progressively better with lower frequency and amplitude of discomfort. Usually all symptoms resolve by 6 months. If your discomfort deviates beyond these parameters, you should return to see your plastic surgeon. He will be able to examine your breast to rule out other possible issues as well as provide you with insight on how to manage the discomforts during this period of scar maturation.

He guided me in the choice of prosthesis and the size to make sure that they were still proportionated to my size. I did not hesitate to make an appointment a few days later to plan surgery.(translated from french)

One of the reasons why I chose this surgeon was that he does all the work himself, he does not delegate to nurses. He thus ensures personally that all his customers are satisfied at all times.(translated from french)

My chest was rather "deflated" and a "tubular" type which was bothering me a lot, and although it is not possible to completely change the shape of the breasts, Dr. Lee has almost made a miracle with mine!

From the first appointment its easy to see how much this doctor truly care about his patients. He is patient (God knows how many questions I kept asking!), he is kind, good listener and very realistic. I brought pictures with me of what I wanted and he explain to me why this was not feasible. He does not try to sell a false image or set false expectation to get a clients

Few months ago, I had a breast augmentation done by Dr.Chen Lee and it turned out beautiful ! I received many compliments from people who actually thought it was real and when i told them I had implants many couldn't believe it and wanted to touch it ..

I had a breast augmentation with Dr Lee in November, and couldn't be happier with the results. I consulted one other surgeon before I visited Dr. Lee, but as soon as I met him, I knew he was the surgeon for me

I had a very pleasant experience with the staff, everyone is friendly and always welcoming . I was very lucky , after my consultation Dr.Chen Lee accommodated me and I got my surgery quickly ! I was very happy because I wasn't able to get that anywhere else!

Excellent service, whether is is his secretary or the team of nurses and the anesthesiologist and Dr. Lee himself.He takes the time necessary during the consultation and strives to inform us of everything, we do not feel pressure. Also, he is always on time and very punctual.(translated from french)